What initial assessments should I perform for a patient presenting with faecal incontinence?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Relevant medical history: Healthcare professionals should perform a focused medical history to identify contributory factors before treatment is considered .

General examination: A general physical examination should be conducted as part of the initial assessment .

Anorectal examination: An anorectal examination should be performed to assess the anal and rectal area .

Cognitive assessment: A cognitive assessment should be considered if appropriate, to evaluate mental capacity and understanding .

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